| NPI | 1255608808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUNHUNNI VELLODY Peditrician 708-229-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036046385) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |